Polished Dental Care, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

056871 Issued in NY

Legal business name

POLISHED DENTAL CARE, PLLC

Practice address

1469 Merrick Ave
Merrick, NY 11566-1602

Phone

(516) 344-5353

Fax

(516) 544-6525

NPI assigned

Mar 6, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Joshua Shaffer, D.D.S.NPI 1043579857

Title

Member - Dentist

Phone

(516) 660-9341

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Shaffer, D.D.S.

  • General Practice Dentistry
  • Merrick, NY
  • NPI 1043579857
  NPD (past) Authorized official
• Lauren Anne Greco, D.M.D.

  • Dentist
  • Merrick, NY
  • NPI 1003176397
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1174063440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661602",
            "telephone_number": "516-344-5353",
            "fax_number": "516-544-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661602",
            "telephone_number": "516-344-5353",
            "fax_number": "516-544-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLISHED DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "MEMBER - DENTIST",
        "authorized_official_telephone_number": "516-660-9341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056871",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Pipia, LCSW
• Barbara Pirnat
• Jane Plafker, OTR/L
• Martin Leonard Plutno, DC
• Michael C Poliseno, APN
• Roseanne Prehoda, M.A. CCC-SLP
• Premier Medical Sports and Rehabilitation
• Professional Occupational & Physical Therapy, PLLC
• Professional Occupational & Physical Therapy, PLLC
• Professional Ortho & Sports PT

• General Practice Dentistry in Merrick, NY
• Providers in Merrick, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.